CLEO DENNIS STAFFORD

ATLANTA, GA
NPI1962765321
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2081S0010X Physical Medicine & Rehabilitation, Sports Medicine
(Licence: GA  77937)
Additional Taxonomies208100000X Physical Medicine & Rehabilitation
(Licence: AL  MD.35085)
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2012-06-20
Last Update Date2019-02-08
Business Address
CLEO DENNIS STAFFORD M.D.
3896 PRINCETON LAKES WAY
ATLANTA, GA 30331
Phone number: 404-489-4444
Mailing Address
CLEO DENNIS STAFFORD M.D.
49 JESSE HILL JR DR SE
ATLANTA, GA 30303-3049
Phone number: 404-778-1550